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Animal Hospital tier list & class guide

There is no dependable universal tier order yet. Choose by the job you actually perform: reception, treatment, mobility, defense, inventory, or premium combat.

Last updated:

July 11, 2026

Class names and roles are collected; some prices and perk values still conflict.

Ranking criteria

Role first, letter second

A strong treatment class can still be the wrong pick for a team missing defense or inventory.

Price warning

Check the live shop

Head Nurse and Secret Agent prices disagree across public guides; the game display wins.

All ten classes

Find your shift role

Each card names the reported role, best use, confidence, and what still needs checking.

Intern

Free starter / extra Sanity baseline

Medium

Best for: First run; no Animal Coin cost

Perk values still need a live check.

Nurse

Inventory capacity / beginner support

Medium

Best for: New players and team inventory

One guide reports a 20 Animal Coin unlock.

Secretary

Reception / check-in Sanity recovery

Medium

Best for: Reception players and Sanity support

One guide reports 120 Animal Coins; scaling needs a live check.

Paramedic

Movement / emergency runner

Disputed

Best for: Crossing the hospital during emergencies

Public rankings place Paramedic far apart, so use the mobility role rather than the letter grade.

Psychologist

High-risk Sanity multiplier

Medium

Best for: Experienced players managing positive and negative Sanity

Reported to magnify both gains and losses.

Doctor

Treatment / Sanity recovery

Disputed

Best for: Patient rooms and treatment-heavy teams

Sources agree on treatment value but disagree sharply on overall rank.

Security

Defense / starting X-Taser

Medium

Best for: Late-shift threats and team protection

Exact uses and regeneration need a live check.

Head Nurse

Premium inventory capacity

Low

Best for: Full-loadout team support

Public sources disagree on the current Robux price.

Surgeon

Treatment sustain plus movement

Medium

Best for: Solo treatment and later progression

Reported speed duration and upgrade values need a live check.

Secret Agent

Premium combat / starting gun

Low

Best for: Threat response and speed-focused groups

Public sources disagree on price and weapon details.

Solo

Cover the whole loop

Solo players cannot rely on a teammate to rescue weak treatment, mobility, or threat response.

Start with Nurse, Doctor, or Surgeon roles

Nurse is the lower-cost inventory route in the selected guide. Doctor and Surgeon target treatment sustain, but their exact ranking and values need a current shop/perk check.

Team

Fill the missing job

A coordinated shift benefits from distinct reception, treatment, inventory, mobility, and defense responsibilities.

Pair treatment with defense and movement

Doctor or Surgeon can focus on patient rooms while Security handles threats and Paramedic covers emergency movement. Head Nurse adds premium inventory support only if the current price makes sense.

Class finder

Pick by your next shift

Open anomaly identifierSquad plannerAnimal Coin routeEvidence log